User Manual
Table Of Contents
- Manufacturer
- Identification and Publication Details
- Regulatory
- Explanation of Symbols
- Conventions
- Important Information
- About
- Intended Use
- Compatibility
- Indications for Use
- Contra-indications
- Training
- Safety
- Electromagnetic Compatibility (EMC)
- Using Batteries Safely
- Examining the Shipment
- Initial Setup
- Rear Panel Connections
- Understanding Battery Operations
- Understanding Wireless Network Operations
- Advanced User Options
- Accessory List
- System Overview
- Getting Started
- Alarms
- Monitoring ECG
- ECG Monitoring Considerations for the MR Environment
- wECG Module and ECG Lead Cable
- Quadtrode Electrodes
- Work Flow for ECG Monitoring
- Selecting the ECG Lead Cable and Quadtrode Electrode Type
- Identifying the Placement Site for the Quadtrode Electrode
- Preparing the Quadtrode Electrode Site
- Attaching the ECG Lead Cable
- Checking the ECG Signal Strength
- Minimizing ECG Waveform Noise
- Positioning the ECG Lead Cable and wECG Module for Scanning
- ECG Waveforms and VS Box
- ECG Menu
- Monitoring SPO2
- Monitoring CO2 (LoFlo Option)
- Monitoring Invasive Blood Pressure
- Indications and Contraindications
- Patient Preparation for IBP Monitoring
- Transducer Component, Connection, and Feature Locations
- MR 400 Preparation for IBP Monitoring
- Adult and Pediatric Patients: Expression MR IBP DPT Kit, A/P (REF 989803194631)
- I. Connecting the Reusable Cable to the MR400
- II. Kit Set Up
- III. Purging Air from the Monitoring Line
- IV. Zeroing, Leveling and Calibration
- V. Connecting the Monitoring Kit to the Patient
- The IBP transducer must not be mounted to the patient, or patient burn may result.
- VI. Fast Flushing
- VII. Checking for Leaks
- VIII. In the MR Room
- Neonatal Patients: Expression MR IBP DPT Kit, I/N (REF 989803194641)
- Adult and Pediatric Patients: Expression MR IBP DPT Kit, A/P (REF 989803194631)
- Zeroing the Pressure Transducer
- P1 (and P2) Menu
- Monitoring Agents and Gases (AGENT Option)
- Monitoring RESP
- Monitoring Temperature
- Monitoring NIBP
- Trend Data and Printing
- Maintenance and Troubleshooting
- General Cleaning Guidelines
- Removing all Power to the MR400
- Removing Power from the Wireless Modules
- User Routine-Checks and Planned Maintenance
- Cleaning, Disinfection, and Damage Inspection
- Sterilization
- Testing Alarms
- Testing a Dropped Wireless Module
- Verification Testing
- Anesthetic Oxygen (O2) Sensor Depletion
- Updating Software
- Calibrating the Touch Screen
- Troubleshooting
- Repair
- Environmental Requirements
- Passing the Product on to another User
- Final Disposal of the Product
- Specifications
- Warranty
- Regulatory Information
- Gating Feature
- Guidelines and References
4‐12AlarmsExpressionMR400InstructionsforUse
TheExtremeTachycardiadeltavaluewillretainitsadjustedvalueastheHRhighalarmlimit
settingisadjusteddownward,butwillbegintoshrinkinvalueasthehighalarmlimitsettingis
adjustedclosertothealarmlimitmaximum.
Desat
AlarmSetting
TheDesatalarmsettingisres trictedtoamaximumvaluethatis2lesstheSPO2lowalarmlimit
setting,while theminimumsettingcanbeaslow asthealarmminimum.Seepage6‐11forsetting
details.
AslongastheSPO2parameterison,theDesatalarm
valuewillretainthissettingevenifthefunc‐
tionisturnedoffandon.
TheSPO2alarmadjustmentsaredesignedtogiveprioritytothe Desatalarmsetting.Therefore,
theSPO2lowandhighalarmlimitsmayalsobeadjustedbasedonachangemadetotheDesat
alarmsetting.
WhenevertheDesatalarmsettingischanged,thefollowingrules determinethe
lowerandupperSPO2alarmlimits:
•IftheDesatalarmwasturnedonafterbeingsetandturnedoff,thenifthelastsetvalueof
theSPO2lowalarmlimitislessthantheDesatalarmsettingplus
2,theSPO2lowalarm
limitwillbesettotheDesatalarmsettingplus2.
•IftheDesatalarmisadjustedupwardsothatthesettingisgreaterthanorequaltothe
SPO2lowalarmlimitminus2,thentheSPO2lowalarmlimitwillbeincreasedbythe
systemsuchthattheDesatalarmsettingplus2isalwaysmaintained(i.e.,thelowalarm
limitwillalwaysmovetostaytwogreaterthanDesatalarmsetting).Iflowalarmlimitis
alteredduetothisscenario,lowalarmlimit willretainthisalteredvalueeveniftheDesat
alarmsettingisadjusteddownward.
•TheSPO2highalarmlimitwillbeadjustedasnecessaryinrelationtothelowalarmlimitas
perthenormalbehavioroflowandhighalarmlimits.
•TheSPO2lowalarmlimitwillbeallowedtobeadjusteddownwardonlyuntilitisequalto
the
Desatalarmsettingplus2.Nofurtherdownwardadjustmentoflowalarmlimitwillbe
alloweduntiltheDesatalarmsettingisadjusteddownward.
Setting Alarm Limits Globally
Globalchangestoallofthelowerandupperalarmlimitsettingscanbemadeautomaticallyby
pressingtheusingthe1‐TouchAlarmskey.Theseglobalchangesarecalculatedusing
percentagesselectedinthe1‐TouchHigh%andthe1‐TouchLow%options;seepage4‐17.
During
calculationsifapatient’smonitoredvalueissohighorlowthatitwouldexceedthealarm
limitrangefortheparameter,thenthealarmlimitwillbesettothehighestorlowestpossible
valuebutnotoff,asindicatedinthetableonpage4‐22.Forexample,
ifafterpressingthe1‐
TouchAlarmskey,apatient’sSPO2upperalarmlimitsettingwas99(thehighestallowable
value),thenanalarmwillbegeneratedifthe patient’sreadingreaches100.(Toturnoffanalarm
limit,seeSettingAlarmLimitsIndividuallyonpage4‐13.)
Alsonotethat
settingalarmlimitsgloballymayresultinalowerSPO2alarmlimitthanthe
defaultsetting.ForapatientthathasanSpO2readingof99%,thenew upperlimitwillbe99but
thenewlowerlimitwillbe79(insteadof85)ata1‐TouchHigh%of
20(factorydefault).